Presenters: Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow & Lyndsi Yarkosky, BS, RRT-NPS
– K.B., prior course participant
Presented by a Speech-Language Pathologist and a Respiratory Therapist, this online course will examine factors that affect communication and swallowing performance for adult patients with tracheostomy tubes with and without mechanical ventilation. It begins with the basics for clinicians new to this patient population. For the more experienced clinician (explained in terms that all will understand) this course also addresses the current state of the science in management of the tracheostomy and ventilator-dependent patient.
The characteristics, advantages, and disadvantages of specific tracheostomy tubes and speaking valves will be covered to ensure best practice. Explanation of how "talking" tracheostomy tubes differ from standard tubes and speaking valves is included, as well as a discussion of common speaking valves and how they enable phonation. SLP "must knows" related to patients on mechanical ventilation will be covered including: explanation of common ventilator settings such as tidal volume, respiratory rate and PEEP; identifying common ventilator alarms; and how to apply an inline speaking valve with the ventilator. Also discussed will be issues related to secretion management and methods to re-establish airflow to the upper airway.
Course is offered for 0.4 ASHA CEUs – 4 Contact Hours.
Course Overview – Run Time: 4:00:30
– J.B., prior course participant
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint presentation with author narration & downloadable handout. Stop and re-start the course at any point. Learners retain access to course content after completion for ongoing reference and review.
"Informative course. Use of the valve in line with the vent and definitions of various respiratory terms were helpful." E.N. (Sep. 2023)
"The discussion about trach selection criteria and pros and cons of different trachs was beneficial. I liked the use of photos in first session." A.R. (Sep. 2023)
"Speaker was engaging. Types of trachs, talking trachs, review of respiratory system and need for trachs." A.B. (Aug. 2023)
"Comprehensive course. I liked the troubleshooting and ways to explain things to patients. Techniques were beneficial." S.P. (Jul. 2023)
"Discussing ways to connect the inline valve was beneficial. This always gives me pause!" O.P. (Jul. 2023)
"I liked the collaboration between SLP and RT. Topic of speaking valves and the criteria to start trials/levels was beneficial." D.P. (Jul. 2023)
"Learning the various trach tubes available, method of cuff deflation, and vent settings and what they mean was beneficial. I liked the convenience of online access." A.S. (Jul. 2023)
"It was beneficial to discuss the different types of vent settings and when appropriate to use these for a specific pt population." K.F. (Jun. 2023)
"I liked the simple descriptions of vent settings, and viewing the vent screen with settings and having the RT explain what each number and abbreviation means." L.L. (May 2023)
"Understanding the basics of tracheostomy and how to help patients. I liked the knowledge of the presenters and how they explained things." L.S. (May 2023)
"I liked the description of various vent settings and what they are used for, specifically what an SLP should know. I liked the video of real patient vent settings." A.M. (May 2023)
"The review of trachs and ventilators was beneficial." E.S. (May 2023)
"Very good graphics, and I liked the pictures." K.F. (Apr. 2023)
"Discussion on speaking valves was beneficial." L.C. (Mar. 2023)
"I liked the background knowledge about trachs and my role as an SLP. Learning impact to speaking and risk factors. Quality images, diagrams and examples." S.V. (Feb. 2023)
"Learning the different types of valves and tubes, and when to use them. I liked the tips surrounding what usually occurs in medical settings and what's actually true." S.R. (Jan. 2023)
"Very logical to follow. I liked all of it." H.M. (Jan. 2023)
"Learning ventilation and settings was beneficial. I liked the case studies that the presenters included." C.G. (Dec. 2022)
"I liked all of it. The amount of detail was appreciated." K.P. (Dec. 2022)
"I liked that the presenters shared relevant clinical experiences. The section on tracheostomy was particularly helpful to know what are the various options out there, and what may be the situations in which I consider the use of each type." M.C. (Dec. 2022)
"The ventilator information and review of all types of tracheostomy tubes was very helpful." A.F. (Nov. 2022)
"Excellent information that can be used in my work setting. Considerations and procedures for placing an inline speaking valve were beneficial." C.J. (Nov. 2022)
"Simple explanation and terms of vent settings for SLPs." V.B. (Oct. 2022)
"All aspects and content are beneficial for my daily practice." A.M. (Oct. 2022)
"The session was organized and easy to follow." J.D. (Oct. 2022)
"This course was thorough." M.W. (Oct. 2022)
"Nice refresher on in-line valve use." M.W. (Oct. 2022)
"Speakers were dynamic. The ventilator modes were very helpful for me to learn." D.Z. (Oct. 2022)
"The topic of different types of trach tubes and speaking valves with considerations/reasons for each was good." K.Y. (Oct. 2022)
"The vent settings were super helpful." L.H. (Sept. 2022)
"I liked the collaboration between RT and SLP, and the case study." M.C. (Aug. 2022)
"I am a very visual person - liked all the pictures and the images." L.M. (July 2022)
"I like the ease of stopping and starting the course. I liked the trach education and learning ventilator settings." E.P. (June 2022)
"The course is very comprehensive." Good review of ventilator settings and practice. Good review of tracheostomy tube types/brands." C.B. (June 2022)
"Review of vent settings and when to try a speaking valve was beneficial. I liked the content shared by 2 disciplines, giving multiple perspectives on the same course material." L.S. (June 2022)
"I like the convenience, ability to listen to certain sections more than once and learning new information, especially in line speaking valves with vents." C.R. (June 2022)
"Learning types of trach tubes, how they work, terminology, normal values, safe practice, checklists to follow - my overall knowledge of trach and vent increased." L.H. (June 2022)
"Clear, easy to understand presentation." D.S. (June 2022)
"I liked that there was a RT presenter, and the overview of trach parts and function." A.W. (Apr. 2022)
"I liked the review of different trachs and characteristics of each – placing PMV in-line with the vent." K.W. (Apr. 2022)
"I learned that there are many options for types of trachs that could benefit patient outcomes for speech/swallowing. I liked the thoroughness of the presenters regarding different trachs and rationale behind the design/use. I had never heard of the flex trach cloud as a stoma leakage solution." J.O. (Apr. 2022)
"Pros and Cons of the various types of speaking valves, in addition to the Modes of Ventilation. Course was easy to follow and relevant information about current products available." A.D. (Mar. 2022)
"I liked the review of airway anatomy and benefits of speaking valves." A.D. (Mar. 2022)
"I liked learning about various types of trachs available, and the ease of the presentation." R.B. (Feb. 2022)
"Videos and case examples were beneficial." B.C. (Jan. 2022)
"I liked that course was self-paced. Good information on ventilation and tracheostomy." G.M. (Dec. 2021)
"I enjoyed the discussion on the different types of trachs. I liked the pictures that were provided." K.W. (Dec. 2021)
"All of the background information on trach tubes will help me in assessing and troubleshooting any patients I may see with trachs. I feel that I have a better understanding of the purpose of trach tubes and I feel more confident in assessing these patients in MBS study." R.K. (Dec. 2021)
"Liked the information regarding cannula size, tracheal stenosis, cuffing and deflating of cuff." T.B. (Dec. 2021)
"The discussion of weaning from ventilation was beneficial." A.T. (Dec. 2021)
"Learning different ventilator settings - summary of different ventilation modes - how to use in-line speaking valve." C.C. (Dec. 2021)
"The ventilator settings info was beneficial because that is something I've wanted to know, and it explained nicely by Lindsay!" S.L. (Dec. 2021)
"The information regarding mechanical ventilation was not new to me, but was a helpful refresher. I like the depth of information about tracheostomy tubes that was provided." C.B. (Dec. 2021)
"Explaining vents and also the different types of trachs. Our facility does not use talking trachs. Application in the acute care/rehab settings." K.T. (Nov. 2021)
"It was all helpful. Liked the instructors' knowledge and the slides." S.S. (Nov. 2021)
"Discussion of ventilator modes, norms for ventilator settings and types of different cuffs were beneficial for my daily practice. I liked the thoroughness of each clinician in presenting content specific information." K.W. (Oct. 2021)
"Liked review of basic vent settings for tracheostomy dependent patient population. And ease of access and understanding of materials from lecturers." M.G. (Oct. 2021)
"RT perspective to SLP assistance with understanding vent setting and benefits to placing PMV were informative. I liked the SLP and RT perspectives when it comes to trachs and one-way speaking valve placements. I also enjoyed learning about the different products for trachs and speaking valves and their respective benefits." J.C. (Sept. 2021)
“The visuals with the trach lecture were great, and the video by the RT was a fantastic addition.” N.F. (Sept. 2021)
“Learning about the vent settings and trach care will help me to be a better, more informed member of the interdisciplinary team at the acute care hospital I worked at. The speakers were very knowledgeable and provided ample examples.” K.B. (Aug. 2021)
"The basic information, rather than the excess of information about types/brands of equipment were very good." D.V.O. (Aug. 2021)
"The ventilator settings and what it all means will be beneficial for my daily practice. I enjoyed how the presenters made it all make sense and put it all together at the end." T.D. (Jul. 2021)
"Terminology and basics to trach and vent will be beneficial for my daily practice. I enjoyed the content of the trach section." C.A. (Jul. 2021)
"Relevant topic for SLPs working with vents." I.K. (May 2021)
“I liked having online notes, case studies to help improve clinical problem-solving.” T.M. (Mar. 2021)
“All of the information was relevant to my daily practice working in acute care. I did not learn anything about trachs or vents in graduate school, but I have had a lot of patients with trachs/on ventilators in my clinical practice. This course made up for the lack of coverage in my program.” C.H. (Feb. 2021)
“The addition of the Respiratory Therapist was invaluable in helping to demystify vents which have always seemed intimidating. It highlighted the significant role that Medical SLPs can play in the restoration of verbal communication in trached/vented patients, as well as their equally important role in ensuring safe swallowing post the acquisition/impact of trachs/vents on these patients. I learned a great deal from each portion of this course.” J.B. (Feb. 2021)
“I loved how it gave the fundamentals and then put it all together for the real-word application. The case examples were helpful also.” T.B. (Jan. 2021)
“The information about speaking valves and how to assess and properly place them was very helpful. I also liked the discussion on how to deflate the cuff and the explanations for how the patient is reacting when doing so. It made me realize how much I didn't know.” J.G. (Jan. 2021)
Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.
Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.
Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.
Financial — Roxann Diez Gross is a presenter of online CEU courses by Northern Speech Services; receives royalties.
Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.
Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.
Lyndsi E. Yarkosky, BS, RRT-NPS, is a registered respiratory therapist who serves as the Clinical Leader of the Respiratory Care Department at The Children's Institute of Pittsburgh. She also provides multidisciplinary staff education as well as education to families in the areas of ventilator management, tracheostomy care, suctioning and handling emergency situations in the home. She has a wide variety of experience including neonatal intensive care, adult critical care, and in-patient pediatric rehabilitation. In addition to her clinical and leadership duties, Lyndsi also serves as an independent consultant for Passy Muir, Inc.
Financial — Lyndsi Yarkosky is a presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Financial — Lyndsi Yarkosky provides consulting services for Passy Muir Corporation; receives consulting fees.
Nonfinancial — Lyndsi Yarkosky has no relevant nonfinancial relationships to disclose.
This program is offered for 0.4 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe:
You have unlimited time to complete our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the My Online Courses tab, and then viewing your desired course.
Certificate of Completion:
On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry Submission:
During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase orders are currently not accepted for online orders, if you wish to submit a purchase order please do so at firstname.lastname@example.org or fax to 888-696-9655.
What is an Online Course?
Our Online Courses consist of video, audio, and/or text content and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any device, via your NorthernSpeech.com online account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%), a printable certificate of completion is presented to you.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to CEUs earned online. Please note that courses offered for university students are not applicable for CEUs.
Registering for an online course:
You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course:
You will be able to access your online course by logging into your Northern Speech account and then clicking the My Online Courses tab on your profile screen. Click the course you would like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Number of CEUs offered:
We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs:
NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page. Most courses include closed captioning.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Firefox, Edge, Internet Explorer, etc.) and newest version of your computer's operating system. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy:
A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
Please click here for any special needs requests, and we will do our best to accommodate them.
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